Candice Diane Bourgeois, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN163005 Issued in AZ

Practice address

44150 W Maricopa Casa Grande Hwy
Maricopa, AZ 85138-5900

Phone

(520) 568-5100

NPI assigned

Aug 20, 2010

Last updated

Aug 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maricopa Unified School District

  • Local Education Agency (LEA)
  • Maricopa, AZ
  • NPI 1043331275
  NPD (past)
• Maricopa Unified School District

  • Local Education Agency (LEA)
  • Maricopa, AZ
  • NPI 1184013310
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1770899353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42596 W LUCERA CT",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384436",
            "telephone_number": "520-568-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44150 W MARICOPA CASA GRANDE HWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385900",
            "telephone_number": "520-568-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "CANDICE",
        "middle_name": "DIANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN163005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha Bonsu
• Chambray Boone, RN
• Igor Borisov, DMD
• Carmen Patricia Born, PMHNP-BC, RN, LMT
• Andrew Bosak, PT, DPT
• Teresa Bourquin, RN
• Megan Bradley
• Colleen Braun, DPT
• Brimhall Pharmacy Solutions LLC
• Devin Brimhall, PHARM D

• Registered Nurse in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.